Stanford T Israelsen, MD - Medicare Orthopedic Surgery in Gillette, WY

Stanford T Israelsen, MD is a medicare enrolled "Orthopaedic Surgery" physician in Gillette, Wyoming. He went to Baylor College Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Campbell County Hospital District and his current practice location is 508 Stocktrail Ave, Suite A, Gillette, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 686-1413.

Stanford T Israelsen is licensed to practice in Wyoming (license number 9750A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093961179.

Contact Information

Stanford T Israelsen, MD
508 Stocktrail Ave, Suite A,
Gillette, WY 82716-3582
(307) 686-1413
Not Available



Physician's Profile

Full NameStanford T Israelsen
GenderMale
SpecialityOrthopedic Surgery
Experience16 Years
Location508 Stocktrail Ave, Gillette, Wyoming
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stanford T Israelsen attended and graduated from Baylor College Of Medicine in 2008
  NPI Data:
  • NPI Number: 1093961179
  • Provider Enumeration Date: 08/08/2008
  • Last Update Date: 08/13/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 1153560610
  • Enrollment ID: I20140917001937

Medical Identifiers

Medical identifiers for Stanford T Israelsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093961179NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 9750A (Wyoming)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Campbell County HealthGillette, WYHospital
Johnson County Healthcare CenterBuffalo, WYHospital
Weston County Health ServicesNewcastle, WYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Campbell County Hospital District2860392529110

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stanford T Israelsen allows following entities to bill medicare on his behalf.
Entity NameCampbell County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710098868
PECOS PAC ID: 2860392529
Enrollment ID: O20040206000510

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stanford T Israelsen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stanford T Israelsen, MD
508 Stocktrail Ave, Suite A,
Gillette, WY 82716-3582

Ph: (307) 686-1413
Stanford T Israelsen, MD
508 Stocktrail Ave, Suite A,
Gillette, WY 82716-3582

Ph: (307) 686-1413

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Orthopaedic Surgery Doctors in Gillette, WY

Dr. Sandra Susanne Gebhart, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2901 Powder Basin Ave, Gillette, WY 82718
Phone: 307-682-6222    Fax: 307-682-6999
Robert Grunfeld, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2201 S Douglas Hwy Ste 120, Gillette, WY 82718
Phone: 800-446-9556    
Dr. Gerald L Baker, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 508 Stocktrail Ave, Ste A, Gillette, WY 82716
Phone: 307-686-1413    Fax: 307-682-1113
Dr. Joseph Forrest Allegretto, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 2901 Powder Basin Ave, Gillette, WY 82718
Phone: 307-682-6222    Fax: 307-682-6999
Dr. John P Dunn, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 508 Stocktrail Ave, Suite A, Gillette, WY 82716
Phone: 307-686-1413    Fax: 307-682-1113
Dr. Hans C Kioschos, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 508 Stocktrail Ave, Suite A, Gillette, WY 82716
Phone: 307-686-1413    Fax: 307-682-1113

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